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Pre-finals 3A

Total questions: 50

Worksheet time: 42mins

Name
Class
Date
1.

Endocrine disorders alter a patient’s health and self-image.

a)

True

b)

False

2.

Which among the following bodily processes are regulated by the Endocrine system?

a)

Growth and Development of the body

b)

Cellular metabolism

c)

Blood sugar levels

d)

Reproductive Function

e)

All of the above

3.

The 3 major components of the endocrine system are:

a)

Receptors

b)

Neurons

c)

Hormones

d)

Glands

4.

________ are chemical substances secreted by glands in response to stimulation

a)

receptors

b)

neurons

c)

hormones

d)

glands

5.

The "master gland" located on the inferior aspect of the brain is called (a)   .

6.

Oxytocin and ADH are produced by the hypothalamus and are stored is released by which part of the pituitary gland?

a)

Posterior lobe

b)

Anterior lobe

7.

Patient Marie has a serum calcium level of 7.2 mg/dl. During the physical examination, nurse Marites expects to assess:

a)

Homan's sign

b)

Goodell's sign

c)

Trousseau’s sign.

d)

Hegar's sign

8.

Nurse Marites is aware that a positive Chvostek’s sign indicates?

a)

Hyponatremia

b)

Hypokalemia

c)

Hypernatremia

d)

Hypocalcemia

9.

Preoperative instructions for the patient scheduled for a subtotal thyroidectomy includes teaching the patient

a)

A. how to support the head with the hands when moving

b)

B. that coughing should due avoided to prevent pressure on the incision

c)

C. that the head and neck will need to remain immobile until the incision heals

d)

D. that any tingling around the lips or in the fingers after surgery is expected andtemporary

10.

When instructing a patient regarding a urine study for free cortisol, it is most important for the nurse to tell the patient to

a)

A. Save the first voided urine in the am.

b)

B. Maintain a high-sodium diet 3 days before collection.

c)

C. Try to avoid stressful situations during the collection period.

d)

D. Complete at least 30 minutes of strenuous exercise before collecting the urine sample.

11.

A patient with Graves’ disease is treated with radioactive iodine (RAI) in the form of sodium iodide 131I. Which of the following statements by the nurse will explain to the patient how the drug works?

a)

A. “The radioactive iodine stabilizes the thyroid hormone levels before a thyroidectomy.”

b)

B. “The radioactive iodine reduces uptake of thyroxine and thereby improves your condition.”

c)

C. “The radioactive iodine lowers the levels of thyroid hormones by slowing your body’s production of them.”

d)

D. “The radioactive iodine destroys thyroid tissue so that thyroid hormones are no longer produced.”

12.

The patient with diabetes mellitus says, “If I could just avoid what you call carbohydrates in my diet, I guess I would be okay.” The nurse should base the response to this comment on the knowledge that diabetes affects the metabolism of which of the following?

a)

A. Carbohydrates only.

b)

B. Fats and carbohydrates only.

c)

C. Protein and carbohydrates only.

d)

D. Proteins, fats, and carbohydrates.

13.

The narrow tissue bridge forming the butterfly shape of the thyroid is called (a)   .

14.

A nurse educator is teaching her students about the thyroid hormones being produced by the thyroid glands, which are

the body’s major metabolic hormones. One of the students asked what composes the thyroid hormones, her best response would be? Select all that apply.

a)

Triiodothyronine (T3)

b)

thyroxine (T4),

c)

Calcitonin

15.

How many parathyroid glands are embedded on the corners of the posterior surface of the thyroid?

a)

3

b)

2

c)

6

d)

4

16.

The following are the zones of the adrenal medulla:

a)

Zona reticularis

b)

Zona glomerulosa

c)

Zona fasciculata

d)

None of the above

17.

Steroid hormones include which of the following:

a)

Thyroid hormones and adrenal cortical hormones'

b)

Pancreatic and thyroid hormones'

c)

Sex hormones and adrenal cortical hormones

d)

Sex hormones and adrenal medullary hormones

18.

The glands that are located in the brain are: Except.

a)

Thymus Gland

b)

Pineal Gland

c)

Pituitary

d)

Hypothalamus

19.

The hormone Insulin regulates the metabolism of carbohydrates, fats, and protein by promoting the absorption of glucose from the blood into the liver, fat, and skeletal muscle cells. This peptide hormone is being produced by which cells of the islet of Langerhans?

a)

Alpha

b)

Beta

c)

Delta

d)

Epsilon

20.

(a)   is an immune response in which the Thymus gland plays an important role by producing T cells.

21.

The tiny pineal gland lying at

the back of the third ventricle

of the brain produces which hormone?

a)

Progesterone

b)

Relaxin

c)

Estradiol

d)

Melatonin

22.

The following hormones are categorized under Amines;

a. thyroid hormones

b. catecholamines

c. ADH

d. cortisol

a)

a & b

b)

b & c

c)

c & d

d)

a & d

23.

Secretion of which hormones

occurs fairly evenly throughout the day.

a. parathyroid hormone

b. insulin

c. prolactin

d. cortisol

a)

a & b

b)

a & c

c)

b & d

d)

c & d

24.

A class of hormones that are characterized to be poorly soluble in water, binds to plasma protein and is lipid-soluble.

a)

Hydrophilic Hormone

b)

Lipophilic Hormine

25.

Nurse Marites is performing an assessment on Patient Marie for a clinical diagnosis of thyroid disorder. During the interview patient Daniela informed that she has an intolerance to the cold temperature. This manifestation is true to which thyroid disorder?

a)

Hypothyroidism

b)

Hyperthyroidism

c)

Addison Disease

d)

Euthyroid

26.

A complete neurologic evaluation is vital in taking the physical assessment of endocrine function.

a)

True

b)

False

27.

The following are important criteria in the assessment of the ENDOCRINE FUNCTION.

a)

Emotional status

b)

Distribution of body fat

c)

Posture

d)

appropriateness

and neatness of dress and grooming,

e)

All of the above

28.

The nurse is assessing Patient Daniela, an African woman, for color variations. The nurse is aware that in assessing the patient's color for the dark-skinned patient, it is best to examine the:

a)

sclera

b)

palm

c)

nail bed

d)

all of the above

29.

Which cranial nerve is activated in testing for the Chovstek sign?

a)

CN 7

b)

CN 4

c)

CN 8

d)

CN 6

30.

Trousseau’s sign is a classic indicator of hypocalcemia. The low level of calcium in the blood can be a result of which condition?

a)

Kidney failure

b)

Vitamin A deficiency

d)

None of the above

31.

_____ is the most common diagnostic test method to determine endocrine function by measuring the hormone levels in the blood and urine.

a)

Provocative testing

b)

Indirect testing

c)

Direct Testing

d)

Radiographic studies

32.

Patient Bonia is directed to perform direct testing of her hormone level through the collection of urine specimens. Nurse Coli must inform Patient Bonia that the urine collection will be done in? Select the best answers.

a)

12 hrs

b)

24 hrs

c)

The urine specimen must be kept on ice during the collection.

d)

The urine specimen must be kept on room temperature during the collection.

33.

The following are methods in Direct testing of endocrine function, except?

a)

immunoradiometric assays (IRMAs)

b)

nuclear imaging studies

c)

radioimmunoassay (RIA)

d)

24-hour urine testing

34.

A female patient is about to undergo provocative testing to determine the function of her thyroid gland. In providing client education, her provider must state that provocative testing works in what principle?

a)

Stimulate an underactive gland and suppress an overactive gland, depending on the patient’s suspected disorder.

b)

A hormone level that increase with stimulation confirms primary hypofunction

c)

Stimulate an overactive gland and suppress an underactive gland, depending on the patient’s suspected disorder.

d)

Hormone secretion that continues after suppression confirms hypofunction.

35.

Commonly used drug to treat endocrine disorders include:

a)

thyroid hormone antagonists for hypothyroidism

b)

thyroid hormone for hyperthyroidism

c)

anti-inflammatory corticosteroids

d)

insulin for hypoglycemia

36.

Diabetic meal planning is considered to be the cornerstone of diabetes care because it directly controls the body’s major glucose source.

a)

True

b)

False

37.

To avoid wide blood glucose variations, the nurse must educate the client that he needs to closely regulate his carbohydrate intake only.

a)

True

b)

False

38.

To determine the appropriate medical nutrition therapy for a client, an individualized nutritional assessment is necessary.

a)

True

b)

False

39.

Studies have shown that categorizing foods according to a patient's blood glucose level after ingestion shows that complete restriction is necessary.

a)

True

b)

False

40.

Your patient is newly diagnosed with DM with hyperglycemia and was admitted to the hospital for blood glucose level monitoring and insulin therapy. An important intervention during his stay is to monitor signs of hypoglycemia which includes?

a)

tremors

b)

excessive, abnormal sweating

c)

faintness

d)

all of the above

41.

A nurse must take note and educate her diabetic patient on the signs of ketoacidosis to avoid further complications. These overt manifestations include:

a)

fruity breath odor

b)

Kussmaul’s respirations

c)

dehydration,

d)

all of the above

42.

Home care instructions for patients undergoing iodine radiation therapy comprise:

a)

drink plenty of fluids for 48 hours to speed excretion of 131I

b)

avoid conception for several months after therapy (if the patient is a female of childbearing age)

c)

avoid close contact with young children and pregnant women for 7 days after therapy

d)

all of the above

43.

Vomitus will be highly radioactive for how many hours after 131I administration therapy?

a)

2-4 hrs

b)

6-8 hrs

c)

3-4 hrs

d)

4-6 hrs

44.

Surgical treatment of choice for adrenal hyperfunction and hyperaldosteronism..

a)

adrenalectomy

b)

thyroidectomy

c)

hypophysectomy,

d)

adrenalectosmosis

45.

In instructing the patient with hypernatremia about his diet, the nurse must teach him to keep a:

a)

low-sodium, high-potassium diet

b)

high-sodium, low-potassium diet

c)

low-sodium, low-potassium diet

d)

high-sodium, high-potassium diet

46.

A patient is suffering from adrenal insufficiency and was prescribed to take steroids. In teaching the client the proper medication administration, the nurse needs to advise him to take his steroids with meals or antacids to minimize gastric irritation.

a)

True

b)

False

47.

Hypophysectomy may be performed subfrontally or transsphenoidally. Which among the following best describes the subfrontal approach?

a)

The subfrontal approach carries a high risk of mortality or complications

b)

The subfrontal approach can result in loss of smell and taste and permanent, severe diabetes insipidus.

c)

It is rarely used.

d)

None of the above

48.

The visual field test is an important intervention in preparing the patient prior to hypophysectomy.

a)

True

b)

False

49.

(a)   is a rare but serious complication of thyroidectomy characterized by a sudden and dangerous increase of the signs of thyrotoxicosis.

50.

In understanding the difference between the simple and complex feedback loop. Simple feedback occurs when the level of one substance regulates the secretion of hormones while Complex feedback occurs through an axis established between the hypothalamus, pituitary gland, and target organ.

a)

True

b)

False